Social Experience in 10-Year-Old Children Born With a Cleft: Exploring Psychosocial Resilience

Social Experience in 10-Year-Old Children Born With a Cleft: Exploring Psychosocial Resilience
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DOI:
10.1597/07-124.1
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发表时间:
2009-01-01
影响因子:
1.1
通讯作者:
Rumsey, Nichola
Rumsey, Nichola
中科院分区:
医学3区
文献类型:
--
作者:
Feragen, Kristin Billaud;Borge, Anne I. H.;Rumsey, Nichola

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目的:本研究的目的是调查自我报告的社会经验在10岁的儿童出生与唇腭裂和/或获得一个更好的理解变量牵连的心理社会resilient.Design:横断面研究的10岁儿童从五个连续的出生队列,出生于1992年至1997年。共有268名儿童参加了奥斯陆唇腭裂治疗小组(挪威)的研究。儿童的唇腭裂的条件包括唇腭裂,唇裂牙槽,腭裂,和粘膜下腭裂。结果Measurements:心理社会弹性与儿童体验问卷(CEQ)进行了测量。其他变量是在与孩子的临床访谈中获得的。认知,情绪和心理社会功能与儿童人格量表(PIC)。通过使用外观满意度量表(SWA)评估外观满意度。告密者都是孩子和parents.Results:裂缝类型不同显着的亚型和频率的额外的困难。社会心理弹性与足够的情感功能,对外观的高满意度,以及较低的报告戏弄频率有关。儿童的特点,如裂缝,性别,和额外的诊断的可见性,并没有帮助解释社会心理resilient.Conclusions:这里报告的结果强调的重要性,评估儿童的主观报告的满意度与外观和社会心理的经验。
Objective: The purposes of this study were to investigate self-reported social experience in 10-year-old children born with a cleft lip and/or palate and to gain a better understanding of variables implicated in psychosocial resilience.Design: Cross-sectional study of 10-year-old children from five consecutive birth cohorts, born from 1992 to 1997.Participants: A total of 268 children treated by the Oslo cleft team (Norway) participated in the study. The children's cleft conditions included cleft lip and palate, cleft lip alveolus, cleft palate, and submucous cleft palate.Outcome Measures: Psychosocial resilience was measured with the Child Experience Questionnaire (CEQ). Other variables were obtained during a clinical interview with the child. Cognitive, emotional, and psychosocial functioning was measured with the Personality Inventory for Children (PIC). Satisfaction with appearance was assessed through the use of the Satisfaction with Appearance Scales (SWA). Informants were both children and parents.Results: Cleft types differed significantly with respect to subtype and frequency of additional difficulties. Psychosocial resilience was associated with adequate emotional functioning, high satisfaction with appearance, and a lower frequency of reported teasing. Child characteristics such as visibility of cleft, gender, and additional diagnosis did not contribute to explain psychosocial resilience.Conclusions: Results reported here emphasise the importance of assessing the child's subjective report of satisfaction with appearance and psychosocial experience.